Häkli Sanna, Luotonen Mirja, Sorri Martti, Majamaa Kari
Department of Otorhinolaryngology, Oulu University Hospital, Oulu, Finland.
Medical Research Center, Oulu, Finland.
BMC Med Genet. 2015 Feb 4;16:3. doi: 10.1186/s12881-015-0145-6.
Mutations in the two MT-RNR genes in mitochondrial DNA can cause hearing impairment that presents with variable severity and age of onset. In order to study the prevalence of mutations in MT-RNR1 and MT-RNR2 genes among Finnish children, we studied a ten-year cohort of hearing impaired children born in Northern Finland.
We studied children, who had been born in Northern Finland in 1993-2002 and who had been ascertained to have hearing impairment by 31 December 2007. Samples from 103 children were sequenced in order to find mutations in the MT-RNR1 and MT-RNR2 genes.
One child harboured the pathogenic m.1555A > G mutation in MT-RNR1 suggesting a frequency of 4.4/100,000 in the Finnish paediatric population. In addition, eight rare variants and 13 polymorphisms were found in MT-RNR1 and MT-RNR2 genes. Five of the rare variants were deemed to be haplogroup-specific polymorphisms rather than putative pathogenic mutations, while the remaining three variants have been reported in various haplogroups. Among them m.990 T > C occurs at a conserved site.
The presence of m.990 T > C variant in various haplogroups and the rather high degree of conservation at this site suggest that this transition is a pathogenic rather than homoplasic neutral variant. Identification of further patients with m.990 T > C and segregation analysis in their families should help in determining the pathogenic potential of this variant.
线粒体DNA中两个MT - RNR基因的突变可导致听力障碍,其严重程度和发病年龄各不相同。为了研究芬兰儿童中MT - RNR1和MT - RNR2基因突变的患病率,我们对出生在芬兰北部的一个十年队列的听力受损儿童进行了研究。
我们研究了1993年至2002年出生在芬兰北部且在2007年12月31日前被确诊为听力障碍的儿童。对103名儿童的样本进行测序,以寻找MT - RNR1和MT - RNR2基因中的突变。
一名儿童在MT - RNR1基因中携带致病性m.1555A > G突变,这表明在芬兰儿科人群中的频率为4.4/100,000。此外,在MT - RNR1和MT - RNR2基因中发现了8个罕见变异和13个多态性。其中5个罕见变异被认为是单倍群特异性多态性而非推定的致病突变,而其余3个变异已在各种单倍群中报道。其中m.990T > C发生在一个保守位点。
m.990T > C变异在各种单倍群中的存在以及该位点相当高的保守程度表明,这种转换是一种致病变异而非同源中性变异。识别更多携带m.990T > C的患者并在其家族中进行分离分析,应有助于确定该变异的致病潜力。